腹腔镜与开腹手术治疗卵巢囊肿的临床比较

目的 探讨腹腔镜与开腹手术相比治疗卵巢囊肿的安全性及对卵巢功能的影响.方法 2004年1月至2011年1月在红河州第一人民医院住院治疗的卵巢囊肿患者137例,根据患者意愿及病情分为2组,其中腹腔镜组66例,开腹手术组71例.记录并比较两组患者手术时间、术中出血量、术后肛门排气时间、住院总费用及术后卵巢功能等指标.结果 2组患者顺利完成手术,无围手术期死亡病例,腹腔镜组2例患者因腹腔广泛粘连而中转为开腹手术.腹腔镜与开腹手术相比术中出血量较少(P＜0.05)、术后肛门排气较早(P＜0.05)；但住院费用较高(P＜0.05).2组患者手术时间差别无统计学意义(P＞0.05)；2种手术方式对卵巢功能影响差别无统计学意义(P＞0.05).结论 腹腔镜卵巢囊肿切除术安全有效、创伤小、恢复快,但住院费用相对较高.

Comparison of Laparoscopy and Laparotomy for Ovarian Cyst

Objective To discuss the safety and influence on ovarian function of laparoscopy compared with laparotomy in treating the ovarian cyst.Methods From January 2004 to January 2011 in our hospital,137 cases of ovarian cyst were treated by laparoscipic treatment or laparotomy.71 cases were in the laparoscipic group and 66 cases in laparotomy group according to clinical feasures and the patients’ will.The operation time,blood loss,postoperative anal exhaust time and total cost of hospitalization were recorded.Results No perioperative deaths was observed in the two groups.2 patients in the laparoscipic group turned for laparotomy for extensive adherenece.Laparoscopy had less amount of blood loss(P <0.05),earlier anal discharge(P <0.05),but had higher hospital charges(P <0.05).There was no significant difference in operation time(P <0.05)and orarian function between two groups(P <0.05).Conclusions Laparoscopy is safe,less invasive,and has faster recovery,but the costs is relatively higher than laparotomy.